Head of Department of Cosmetic Dermatology of Erasmus Medical Center (University of Rotterdam), the Netherlands
Dr. Peter Velthuis did his PhD in dermatology at the University Medical Center Utrecht. He opened the first branch of Velthuis Clinic in 1995. Now he is Head of Department of Cosmetic Dermatology of Erasmus Medical Center (ErasmusMC Aesthetics) for 5 years now, an educational and knowledge center for cosmetic dermatology. He has been doing laser skin treatments since 1993.
Dr. Peter is founder and board member of the Dutch Association for Cosmetic Dermatology (NVCD), co-chairman of the Dutch Aesthetic Laser Association (DALA) and vice-president of the European Society of Cosmetic & Aesthetic Dermatology (ESCAD).
Short Description of the Lecture & Workshop:
- Duplex/Ultrasound of The Face, Prevention and Management of Filler Complications
Duplex/ultrasound diagnostics are an inexpensible tool in prevention and treatment of filler complications. With ultrasound one can identify previously injected filler material. In many cases this is better to be avoided when injecting and other fillers. Also, complications of injected fillers be treated more easily under ultrasound guidance
With duplex mode larger vascular structures can be seen, especially arteries. It is conceivable that facial vascular mapping with duplex prior to filler injections will become mandatory in many countries. Especially patients with aberrant vascularity after (nose!) surgery will benefit from knowledge of the exact localization of arteries.
Fortunately, once learned, ultrasound mapping of the face is quick and easy procedure
- Duplex/Ultrasound Anatomy of the Face
Because they are becoming relatively cheap and also portable, high frequency ultrasound devices are used more and more in cosmetic dermatology. Also, there is an increase in scientific papers on this subject. Ultrasound can be used for detection of fillers (both hyaluronic acid and permanent fillers), the detection of vascular occlusions by fillers and to facilitate intralesion hyaluronidase injections (ultrasound guided injections). In this course many examples of each are given.
Many structures in the face are easily identified by ultrasound. For cosmetic dermatologists specifically bone, muscle and vasculature are of interest. Using the portable Lumify device (Philips) a live demonstration will be given.
To make the most of this course, participants are urged to have good knowledge of the major facial arteries, i.e. art. facialis/angularis, art. supratrochlearis, art. supraorbitalis, art. temporalis superficailis and of the mimical muscles in the face.